Abstract:
INTRODUCTION AND OBJECTIVE:The chronic inflammatory demyelinating polyneuropathy (CIDP) is a controversial sickness. No doubt it is still a diagnosis without a strict nosologic delimitation until we acquire a greater knowledge about the underlying mechanisms, or whether a specific marker is found. We evaluated its clinical and laboratory findings, to contribute to its characterization in our environment. PATIENTS AND METHODS:We reviewed the records of 37 patients diagnosed with CIDP between 1986 and 1997. They were grouped in as to sex, age, beginning age (BA), evolution time, race, clinical form, symptoms, signs and evolutive profile. We analyzed the cytochemic and immunologic studies of cerebrospinal fluid (CSF) as well as sural nerve biopsy. RESULTS AND CONCLUSIONS:We demonstrated a predominance of BA between the fifth and sixth decades, and the presentation of a mixed polyradiculoneuropathy with motor predominance and a chronic progressive evolution. It was positively correlated with protein concentration levels in CSF, elevated in the 73.5% of the patients. There was an increase in the permeability of the blood brain barrier (BBB) in 50.8%, IgG intrathecal synthesis in 5.08 and oligoclonal bands in 8.8%. We found lost of myelin sheats in 90.6% of sural nerves and onion-bulbs formation in 60.5%, which demonstrated the high sensitivity of this study to confirm the diagnosis of demyelinating process as essential substrate in the illness.
journal_name
Rev Neuroljournal_title
Revista de neurologiaauthors
Cabrera-Lima AV,Estrada R,Santiago-Luis R,Alfaro I,González A,Galarraga-Inza Jsubject
Has Abstractpub_date
1999-04-16 00:00:00pages
772-8issue
8eissn
0210-0010issn
1576-6578journal_volume
28pub_type
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journal_title:Revista de neurologia
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journal_title:Revista de neurologia
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pub_type: 杂志文章
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更新日期:2004-06-16 00:00:00
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更新日期:2003-04-16 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章,meta分析
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更新日期:2003-03-16 00:00:00
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journal_title:Revista de neurologia
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更新日期:1998-04-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:1999-02-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2005-10-16 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章,评审
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更新日期:2003-08-01 00:00:00
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pub_type: 历史文章,杂志文章,评审
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更新日期:2010-01-16 00:00:00
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更新日期:2003-03-16 00:00:00
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更新日期:2020-11-16 00:00:00
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更新日期:2019-03-16 00:00:00
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更新日期:2009-03-01 00:00:00
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journal_title:Revista de neurologia
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更新日期:2000-01-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章,评审
doi:
更新日期:2001-02-01 00:00:00
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更新日期:2012-05-21 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
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更新日期:2018-06-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
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journal_title:Revista de neurologia
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-02-16 00:00:00